Put data ahead of dogma.
Follow the data, not the crowd……

“Knee osteoarthritis, characterised by knee pain and functional limitation, is widely understood to imply that symptoms are due to structural damage. This view leads to the belief that non-surgical approaches are futile and the structural damage needs to be ‘fixed’. In contrast, contemporary evidence supports knee osteoarthritis as a ‘whole person condition’ in which knee health is influenced by the interaction of different biopsychosocial factors that modulate inflammatory processes and tissue sensitivity, as well as behavioural responses that lead to pain and disability.”
.
“This contrasting view reinforces the critical role of non-surgical approaches to manage knee osteoarthritis.”
.
“Clinicians must explain that knee pain is a modifiable symptom related to sensitised knee structures and influenced by a variety of biopsychosocial factors, rather than solely related to damaged structures.”
.
“This message is underpinned by knowledge that levels of pain and disability are often poorly explained by the degree of structural change on imaging….”
.
P.Caneiro, et al
Three steps to changing the narrative about knee osteoarthritis care: a call to action
British Journal Of Sports Medicine — Volume 54 #5 — March 2020